Provider Demographics
NPI:1609970177
Name:STEINER, MARY RUTH (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:RUTH
Last Name:STEINER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3016 ODONNELL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4915
Mailing Address - Country:US
Mailing Address - Phone:410-563-3600
Mailing Address - Fax:410-276-7774
Practice Address - Street 1:3016 ODONNELL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4915
Practice Address - Country:US
Practice Address - Phone:410-563-3600
Practice Address - Fax:410-276-7774
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD890RMedicare UPIN